conviction over convenience

Health board votes to toughen rules for opting kids out of immunizations

The State Board of Health voted unanimously today to approve rules that would require parents to submit non-medical exemption forms opting children out of immunizations more frequently to schools and child care facilities.

The change, which will take effect July 1, 2016, requires parents of K-12 children to submit personal belief or religious exemption forms annually and parents of younger children to submit the forms up to five times prior to kindergarten. (See this story for more background.)

A related provision meant to reduce the paperwork burden on schools will create an online exemption form that parents can submit directly to the state health department.

Currently parents have to submit an exemption form just once during their children’s schooling.

Health department officials say the more stringent requirements, which are still far from the strictest in the country, will help reduce exemptions claimed out of convenience rather than conviction and help push down Colorado’s higher-then-average immunization exemption rates.

Today’s hearing comes about a year after the state legislature passed House Bill 14-1288, which required schools to release immunization and exemption rates upon request and assigned the Board of Health to examine the exemption frequency issue.

The vote took place after a public comment session that featured a number of speakers who expressed strong support for the change, several who opposed the change, and several who said they wished the rules made it even harder to claim exemptions.

In the brief discussion that followed public comment, some board members agreed that the rules need to be even tougher, but said the change strikes a balance between two extremes.

“I am concerned that it doesn’t go far enough, but I do think it is a good first step,” said Board Member Jill Hunsaker-Ryan.

In addition to the exemption frequency rule, the Board of Health approved a plan to create a public database of immunization and exemption rates for all Colorado schools and child care facilities. That database represents a major expansion of the work Chalkbeat Colorado started in February when it published a first-of-its-kind database of immunization compliance and exemption rates for more than 400 schools in the state’s 20 largest districts.

The state’s database, expected in the 2016-17 school year, will create a standardized system for reporting school immunization rates, and set an annual Dec. 1 deadline for districts to report their data to the state. Since such a reporting deadline doesn’t currently exist, Chalkbeat’s database included rates that were compiled at all different times during the school year.

Finally, the rule changes approved today include an overview of a new online immunization module that’s being created by the state for parents who want more information. The module will include information on vaccine benefits and risks, vaccine safety, Colorado immunization rates, vaccination schedules, and a video on how vaccines work.

At least two public commenters argued that the module should include information on the National Vaccine Injury Compensation Program, which provides financial compensation to people hurt by vaccines. After the public comment period, state officials said that was a reasonable suggestion and information on the topic would be added.

How are you feeling?

With plan to focus on teen health, Adams 12 school district opens new clinic

PHOTO: Jasleen_kaur/Creative Commons

The Adams 12 school district, Colorado’s sixth-largest, will open its first school-based health clinic this fall at Thornton High School.

The new clinic will offer routine physicals, sick care and mental health counseling to the 1,675 students at Thornton High as well as another 1,000 students who take classes at the district’s career and technical education center on the same campus.

By providing a convenient source of health care, particularly for low-income students, advocates say school-based health centers help prevent and address health problems that can impede learning.

Statewide, the number of school-based health centers has grown over the last decade — from 40 in 2007 to 59 this fall.

Despite the overall upward trend, not all school-based health centers survive. For example, the clinic at Jefferson Junior-Senior High School, a high poverty school in the Jeffco district, closed its doors last spring.

A district official there said the nonprofit organization providing the health services, which were available to Jefferson students and other local residents, decided to depart because district security logistics made it difficult to keep the clinic open during evening and weekend hours.

In Adams 12, planning for the new clinic began in 2015. A district committee chose Thornton High to house the health center because of the high level of poverty in that area and because the campus, which also houses the Bollman Technical Education Center, serves the largest number of high school students in the district.

District spokesman Kevin Denke said the decision to focus on a teenage population stems from the fact that adolescents tend to see doctors less often than younger students and may be starting to engage in risky behaviors, such as sexual activity, alcohol use or drug use.

The neighboring Boulder Valley school district also has a school-based health clinic in the works, though it’s not expected to open until the fall of 2019. That clinic, the district’s first, will be located at the Arapahoe Campus, which houses Arapahoe Ridge High School and the district’s career and technical education center.

District officials said the clinic was originally slated to open earlier, but the launch was pushed back to align with a planned remodel of the career and technical education space.

In the meantime, the district will expand a dental care program that’s gradually ramped up at the Arapahoe Campus. Begun four years ago as a basic screening program that referred kids with cavities and other problems to area dentists, the program last year provided cleanings, fluoride treatments and sealants to 42 students at Arapahoe Ridge and two other district high schools.

This year, the program will offer the same services, plus treatment for minor cavities, to students from all district high schools. The goal is to serve 250 students by the end of the year.

Fighting hunger

No more cheese sandwiches: Denver restores hot lunches for students in debt

Students at Denver's Fairmont ECE-8 have a choice of fruits and vegetables for lunch. (Denver Post file photo)

Denver students will start the year off with lunch debts paid off and a new promise that falling behind on lunch payments will not mean a cold “alternative” meal.

The district announced the change this week.

“We will feed every kid, every day,” Superintendent Tom Boasberg wrote. “We know hungry kids aren’t the best learners.”

In some districts, including DPS, students who fall behind on lunch payments may be given alternative meals such as a cheese sandwich, or graham crackers and milk.

Boasberg said all kids will get regular hot-lunch options while payment issues are resolved and the district works on a long-term strategy.

In the last school year, Denver students had accumulated a balance of more than $13,000. The debt would be higher if some schools had not set aside money to help students.

According to the district, schools paid for more than 37,700 meals during the 2016-17 year.

The district said that donations raised by students through a nonprofit called KidsGiving365, and by Shift Workspaces, founded by Grant Barnhill, a parent of an incoming DPS student, will cover all the outstanding lunch debt of students in the district.

In DPS, all students receive free breakfast. Students who qualify for free lunch based on family income do not make payments and do not accrue debt.

For 2017-18, a family of four must earn less than $31,980 to qualify for free lunch, or less than $45,510 to qualify for a reduced price lunch.

The announcement from DPS reminds families that the application for free or discounted lunch can be submitted throughout the year, and that students are eligible regardless of immigration status.